A healthy lifestyle that includes physical activity is an essential component of the care plans for cancer survivors. However, many cancer survivors remain inactive, even if they feel motivated to exercise
. Based on the Chronic Care Model, self-leadership
and planning may improve cancer survivors' self-management of their own care.
The aim of this study was to examine whether self-leadership
skills and planning are associated with performance and maintenance of an exercise
program in patients with colorectal cancer.
This cross-sectional study enrolled 251 consecutive patients with colorectal cancer who received primary curative surgery and were undergoing or had completed other therapy at the National University Hospitals from 2 regions in South Korea. Demographic data and measures of self-leadership
and planning were obtained from questionnaires and clinical data from hospital databases. Self-leadership
was measured using the validated Abbreviated Self-Leadership
Questionnaire, and another validated psychometric assessment instrument was used to measure “action planning” and “coping planning.”
Performing and maintaining an exercise
program at a level recommended by an American Cancer Society panel correlated with greater self-leadership
of behavior awareness and volition, task motivation, and constructive cognition. Greater action planning was associated with performing and maintaining this exercise
program for more than 6 months.
The results of the current study indicate that having self-leadership
and action planning are significantly associated with performing and maintaining an exercise
Implication for Practice
We suggest that care providers try to increase self-leadership
and action planning of patients with colorectal cancer to improve their self-management during long-term care.